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良性前列腺增生症患者的中医体质辨识调查与分析

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目的 了解本地区良性前列腺增生症(BPH)患者的中医体质分布情况,为BPH患者的临床治疗提供科学指导。方法 选取 202 例BPH患者(观察组)与 415 例健康体检男性(对照组)进行研究,对所有受试者进行中医体质调查。分析并比较两组受试者的中医体质分布情况。结果 经Kruskal-wallis秩和检验得出,两组受试者年龄比较,差异无统计学意义(P>0。05)。观察组 202 例BPH患者中,38 例为气虚质、50 例为阳虚质、11 例为阴虚质、15 例为湿热质、28 例为痰湿质、2 例为特禀质、31 例为血瘀质、19 例为气郁质、8 例为平和质,其中,阳虚质患者占比最高,达 24。75%。对照组415 例健康体检男性中,125 例为气虚质、2 例为阳虚质、25 例为阴虚质、51 例为湿热质、73 例为痰湿质、15 例为特禀质、54 例为血瘀质、50 例为气郁质、20 例为平和质,其中,气虚质人群占比最高,达30。12%。观察组气虚质占比 18。81%低于对照组的 30。12%,阳虚质占比 24。75%高于对照组的 0。48%,差异有统计学意义(P<0。05);两组阴虚质、湿热质、痰湿质、特禀质、血瘀质、气郁质、平和质占比比较,差异无统计学意义(P>0。05)。结论 BPH患者普遍存在中医体质偏颇情况,以气虚质与阳虚质为主,且与健康男性相比,BPH患者部分偏颇体质的分布情况存在明显差异。临床可根据BPH患者的中医体质辨识特点,为其制定更具针对性的干预计划,予以患者适当的中医药调理建议,提高治疗方案的科学性与合理性,进一步改善此类患者的临床治疗效果。
Investigation and analysis of traditional Chinese medicine constitution identification in patients with benign prostatic hyperplasia
Objective To understand the distribution of traditional Chinese medicine constitutions of benign prostatic hyperplasia(BPH)patients in this area,so as to provide scientific guidance for clinical treatment of BPH patients.Methods A total of 202 BPH patients(observation group)and 415 healthy male subjects(control group)were selected for the study,and all subjects were investigated for their traditional Chinese medicine constitutions.The distribution of traditional Chinese medicine constitutions of the subjects in the two groups was analyzed and compared.Results The Kruskal-wallis rank sum test yielded that there was no statistically significant difference in the ages of the subjects between the two groups(P>0.05).Among 202 BPH patients in the observation group,there were 38 cases of Qi-deficiency constitution,50 cases of Yang-deficiency constitution,11 cases of Yin-deficiency constitution,15 cases of damp-heat constitution,28 cases of phlegm-dampness constitution,2 cases of special constitution,31 cases of blood-stasis constitution,19 cases of Qi-stagnation constitution,and 8 cases of peace constitution.Among them,Yang-deficiency constitution accounted for the highest proportion,up to 24.75%.Among 415 healthy male subjects in the control group,there were 125 cases of Qi-deficiency constitution,2cases of Yang-deficiency constitution,25cases of Yin-deficiency constitution,51 cases of damp-heat constitution,73 cases of phlegm-dampness constitution,15 cases of special constitution,54 cases of blood-stasis constitution,50 cases of Qi-stagnation constitution,and 20 cases of peace constitution.Among them,Yang-deficiency constitution accounted for the highest proportion,up to 24.75%.The percentage of Qi-deficiency constitution of 18.81%in the observation group was lower than 30.12%in the control group;the percentage of Yang-deficiency of 24.75%in the observation group was higher than 0.48%in the control group;the difference was statistically significant(P<0.05).There was no significant difference in the percentages of Yin-deficiency constitution,damp-heat constitution,phlegm-dampness constitution,special constitution,blood-stasis constitution,Qi-stagnationconstitution and peace constitution between the two groups(P>0.05).Conclusion BPH patients generally have traditional Chinese medicine constitution bias,mainly Qi deficiency constitution and Yang deficiency constitution,and compared with healthy men,there are obvious differences in the distribution of some biased constitution in BPH patients.According to the characteristics of traditional Chinese medicine constitution identification of BPH patients,more targeted intervention plans can be formulated,and appropriate traditional Chinese medicine suggestions can be given to improve the scientificity and rationality of the treatment plan,so as to further improve the clinical therapeutic effect of these patients.

Benign prostatic hyperplasiaTraditional Chinese medicine constitution identificationYang-deficiency constitutionQi-deficiency constitutionBiased constitution

徐志驰、陈日连、邱洁、吴素枝、曹姝、邱铨

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528415 中山陈星海中西医结合医院

良性前列腺增生症 中医体质辨识 阳虚质 气虚质 偏颇体质

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(24)